Individual
DR. THOMAS E BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
238 THORNDALE DR, MC KENZIE, TN 38201-6805
(731) 352-9434
Mailing address
238 THORNDALE DR, MC KENZIE, TN 38201-6805
(731) 352-9434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21090
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090662
—
TN
01
—
4016828
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/23/2007
Last updated
07/08/2007
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